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1780294058 NPI number — YOLANDE EILEEN THOMAS CASE MANAGER

NPI Number: 1780294058
Health Care Provider/Practitioner: YOLANDE EILEEN THOMAS CASE MANAGER

Information about “1780294058” NPI (YOLANDE EILEEN THOMAS CASE MANAGER) exists in 1780294058 in HTML format HTML  |  1780294058 in plain Text format TXT  |  1780294058 in PDF (Portable Document Format) PDF  |  1780294058 in an XML format XML  formats.

NPI Number : 1780294058 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780294058",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "THOMAS",
    "FirstName": "YOLANDE",
    "MiddleName": "EILEEN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CASE MANAGER",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "THOMAS",
    "OtherFirstName": "YOLANDE",
    "OtherMiddleName": "E",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CASE MANAGER",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "13334 ARLINGFORD AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BATON ROUGE",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70815-6489",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "253-330-9004",
    "MailingAddressFaxNumber": "225-250-5879",
    "FirstLinePracticeLocationAddress": "ARRAY OF HOPE",
    "SecondLinePracticeLocationAddress": "11940 BRICKSOME AVE",
    "PracticeLocationAddressCityName": "BATON ROUGE",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70816",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "225-612-8656",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/03/2020",
    "LastUpdateDate": "08/03/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "171M00000X",
        "TaxonomyName": "Case Manager/Care Coordinator",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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